Kaleb Matthew Farnham

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3290 W Big Beaver Rd Ste 510
Troy, MI 48084-2917

Phone

(734) 513-2731

NPI assigned

Aug 29, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1740014844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 EAST ST",
            "city": "COOPERSVILLE",
            "state": "MI",
            "postal_code": "494049411",
            "telephone_number": "515-210-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 W BIG BEAVER RD STE 510",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842917",
            "telephone_number": "734-513-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNHAM",
        "first_name": "KALEB",
        "middle_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suhair Farida
• Marko Oleh Farion, D.D.S.
• Rochelle Marie Farkas-Geldhof, ACNP-BC
• Alaina Michelle Farmer, FNP-C
• Parah Farmer
• Deanna Diamond Farrah, MSW
• Farzana Haque M.D. P.C.
• Farzana Haque, MD, PC
• Fastbraces of Troy, LLC
• Laura Carney Fathallah, M.D.

• Behavior Technician in Troy, MI
• Providers in Troy, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.